Seacoast Medical Associates

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SEACOAST MEDICAL ASSOCIATES

Doing business as

Denise Ricketts

Practice address

1801 SE Hillmoor Dr Ste a-102
Port St Lucie, FL 34952-7545

Phone

(772) 249-2494

Fax

(772) 249-3113

NPI assigned

Apr 5, 2019

Last updated

Dec 28, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Denise Ricketts, MD

Title

Owner

Phone

(786) 390-2290

Specialties & licenses 1

Addresses

Other names 1

• Denise Ricketts Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Denise Ricketts Grant, M.D.

  • Family Medicine Physician
  • Port St Lucie, FL
  • NPI 1215163175
  Medicare reassignment NPD
• S0Nia R Bennett, MD

  • Medical Physician Assistant
  • Port St Lucie, FL
  • NPI 1942018742
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1255893343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 W MIDWAY RD UNIT 12127",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349798007",
            "telephone_number": "786-390-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 SE HILLMOOR DR STE A-102",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527545",
            "telephone_number": "772-249-2494",
            "fax_number": "772-249-3113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1713 hwy 441 North",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Okeeckbee",
            "state": "FL",
            "postal_code": "34972",
            "country_code": "US",
            "telephone_number": "772-249-2494",
            "fax_number": "772-249-3113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEACOAST MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-05",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-26",
        "status": "A",
        "authorized_official_last_name": "RICKETTS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-390-2290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denise Ricketts",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Denise Ricketts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter Schuyler
• Sara Schwarz-Snell
• Erin Nola Scott, RN
• Sa-Shawna Scully
• Hunter Seabrook
• David Lee Searfoss
• Searight Holdings LLC (Visiting Angels)
• Seaside Family Wellness, PLLC
• Josh Sebag
• Sarah Ann Sebban, PSY.D.

• Family Medicine Physician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.